Variables influencing bowel elimination
What type of medication is used for constipation?
What is laxatives
What position is a patient placed to administer an enema?
They are placed on their left side (lateral) with knees bent
When should the nurse perform hand hygiene before collecting the sample?
Before and after the procedure.
An opening into the colon that permits feces to exit through the stoma
Colostomy
What drug class can cause constipation?
Opioids (opioids bind to the gastric receptors thus disrupting peristalsis)
What diet types promote bowel elimination?
What is a high-fiber diet
How are enemas absorbed?
They are absorbed through the rectal mucosa
Is the collection technique aseptic or sterile?
Aseptic
When would you empty an ostomy bag?
A. 1/3 full
True or False
For severe C.Diff infection, you will see watery diarrhea 3 or more times a day for two or more days
False
You will see 10-15x a day
What medication type caused C. Diff?
What is antibiotics
What is the purpose for an oil-retention enema?
An oil-retention enema lubricates the stool and inestinal mucosa, making defecation easier
When the patient is preparing to … “donate their sample”… what should the CNA teach the pt beforehand in order to prevent sample contamination
Do not urinated in the specimen hat with the stool
When applying an appliance bag how big should the wafer fit around the stoma?
1/8 inch around the stoma
What medication can contribute to increased risk of C. Difficile and what is the most effective prevention?
Antibiotics
What drugs can cause potential gastrointestinal bleeding?
What is aspirin and anticoagulants.
What is the name of the type of soap in a soap enema solution?
Castille soap
What should the nurse teach to a patient when they are taking iron supplementation (in regards to their stool)?
Their stool will appear dark (black) in color.
Describe the characteristics of the output you will see from an ileostomy
liquid stool mixed consistency
How can a CNA assist a pt with a fecal impaction?
digital removal
What influences the characteristics of stool in infants?
What is a breastfed vs. formula fed infant.
What is the total volume maximum that you should put in for an enema
1000 mL
Name 3 concerns related to stool observations that would warrant you to tell the nurse immediately
Bright right blood in stool
Black tarry stool
NO Bowel movement in several days
green liquid stool
Name 3 the types of ostomies?
Sigmoid colostomy
Descending colostomy
Transverse colostomy
Ascending colostomy
Ileostomy
Urostomy
Name 3 CNA interventions that can assist a patient who is constipated?
Ambulation
Increase fiber intake
Increase fluid intake